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academies
International Surgery and Ortho Conference
October 25-26, 2017 | Toronto, Canada
Case Rep Surg Invasive Proced 2017 | Volume 1 Issue 3
C
ancers are a major public health problem in the
world. Digestive cancers are growing in Benin. Most
of the affected individuals arrive at a late stage of life-
threatening stage. The general objective was to describe
the epidemiological aspects of adult gastrointestinal cancers
at the CNHU-HKM in Cotonou. This was a retrospective
descriptive study that took place over a five-year period from
January 1, 2011 to December 31, 2015, in four departments
of the CNHU-HKM in Cotonou. We had 226 cases of digestive
cancers on the 5551 admissions, a proportion of 4.1%. The
predominance was male with a sex ratio of 2:4; the mean
age was 53.60 years with extremes of 17 years and 88 years.
Most patients lived in urban areas. The identified risk factors
were B and C viral hepatitis, alcoholism and smoking. Liver
cancer (47.8%) was the most common gastrointestinal
cancer followed by pancreatic cancer (18.1%). Only 8% of
our patients received palliative chemotherapy and 18.6%
received surgical treatment. Hospital mortality was 67.7%
and one-year survival was 39.9%, two years 9.2%, and five
years 2%. The incidence of digestive cancers in general
and HCC is growing in our country. The fight against this
scourge must include vaccination against hepatitis B, public
awareness of risk factors and early consultation and access
to curative care for patients. Indeed, some of our patients
are informing themselves about the standards of treatment
and therapeutic innovations they could benefit from and
that we are often unable to offer them.
e:
joloryt@gmail.comEpidemiological aspects of adult digestive cancers at the CNHU-HKMof Cotonou (Benin) from2011 to 2015
Jean-Léon Olory-Togbe
National University of Benin, Benin